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Copyright © 2020 Everest Global, Inc. This document has been licensed for exclusive use and distribution by NTT DATA EGR-2020-45-E-3833 ® ® Everest Group PEAK Matrix ® for Healthcare Provider Digital Services 2020 Focus on NTT DATA July 2020

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Copyright © 2020 Everest Global, Inc.

This document has been licensed for exclusive use and distribution by NTT DATA

EGR-2020-45-E-3833

®

®

Everest Group PEAK Matrix® for Healthcare Provider Digital Services 2020

Focus on NTT DATA

July 2020

Copyright © 2020, Everest Global, Inc.

EGR-2020-45-E-38332

®

Background of the research

Healthcare providers have historically been mired down by the legacy IT estate and regulations that have had the unfortunate consequence of incentivizing them to maintain the status quo.

However, that is not an option anymore, particularly as healthcare providers scramble to meet the unprecedented needs of a world disrupted by the COVID-19 pandemic. Healthcare

providers are now being forced to jump on the digital bandwagon to meet the demands faced by the healthcare ecosystem to battle this outbreak.

To support enterprises on their digital journeys, service providers are ramping up capabilities through healthcare-specific partnerships and acquisitions. This, in turn, is driving the need for

research and market intelligence on demand and supply trends in healthcare provider digital services. Everest Group’s healthcare ITS research program addresses this market need by

analyzing demand themes and service provider capabilities in healthcare provider digital services.

In this report, we analyze the capabilities of 22 IT service providers specific to the healthcare provider sector globally. These service providers are mapped on the Everest

Group PEAK Matrix®, which is a composite index of a range of distinct metrics related to a provider’s capability and market impact. We focus on:

Scope of this report

⚫ Geography: Global

⚫ Services: Digital services

⚫ Industry: Healthcare provider

Provider digital services

market size and growth

Digital services themes

for healthcare providers

Assessment of the service providers

on several capability- and market

success-related dimensions

Everest Group’s independent

remarks on service providers

Copyright © 2020, Everest Global, Inc.

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Leaders:

Accenture, Cognizant, Deloitte, NTT DATA, Optum, and TCS

⚫ Leaders have established themselves as front runners to support healthcare provider clients that look to service providers to help them achieve transformation through digital initiatives

⚫ Leaders have a balanced mix of solutions in their portfolios, are able to come up with innovative digital use cases for healthcare firms, and continue to keep pace with the market

dynamics through continued investments in technology and services capability development (internal IP/tools, CoEs, innovation centers, M&A, partnerships, etc.)

⚫ They have showcased high levels of proactiveness in taking their innovations and next-generation service offerings to clients. They have delivered value and exhibited success in large

provider engagements

⚫ They have displayed a holistic vision for the broader healthcare domain and tend to be the providers of choice for large healthcare firms looking for partners with a similar global footprint

⚫ That said, the current Leaders face a stiff challenge from progressive Major Contenders in terms of both digital services capabilities and commercials. Hence, they need to focus on

building effective solutions that leverage next-generation technology trends and also address the cost-takeout mandate

Major Contenders:

Wipro, DXC Technology, HCL Technologies, IBM, Atos, emids, CitiusTech, Infinite, Virtusa, Infostretch, Tech Mahindra, and GAVS

⚫ Major Contenders have witnessed decent traction in select areas within the provider digital services domain. However, they require to expand their vision to address the broader market

⚫ While some have built meaningful capabilities to deliver a wide range of digital services for the healthcare provider lines of business and value chain, their service portfolios are not as

balanced and comprehensive as those of Leaders, which is also reflected in demonstrable market success. Having said that, a few of these players are establishing strong foothold in

the market either through their healthcare domain expertise (such as CitiusTech and emids) or client intimacy (such as Infinite and Infostretch)

⚫ Most Major Contenders are making continued investments in developing internal IP and tools, as well as expanding their service and technology partnership networks in order to plug

their capability gaps, and are, thereby, positioning themselves as strong challengers to the Leaders in this space

Aspirants:

Capgemini, EPAM, Hexaware, and HTC Global Services

⚫ The provider services business of Aspirants is in the initial stages of growth and is not a primary focus area or source of revenue generation

⚫ Most of these players offer vertical-agnostic offerings applicable to healthcare providers, instead of solutions built specifically for healthcare provider clients

⚫ These companies require making investments to build broader capabilities to cater to buyers (through service and technology partnerships as well as internal IP/tools)

Healthcare Provider Digital Services PEAK Matrix® characteristics

Copyright © 2020, Everest Global, Inc.

EGR-2020-45-E-38334

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Everest Group PEAK Matrix®

Healthcare Provider Digital Services PEAK® Matrix Assessment 2020

1 PEAK Matrix specific to healthcare provider digital services

2 Assessments for Atos, Capgemini, Deloitte, EPAM, Hexaware, HTC Global Services and IBM excludes service provider inputs and are based on Everest Group’s proprietary Transaction Intelligence (TI) database, service provider public disclosures,

and Everest Group’s interactions with buyers

Everest Group Healthcare Provider Digital Services PEAK® Matrix Assessment 2020

Leaders

Major Contenders

Aspirants

Star performers

Vision & capability

(Measures ability to deliver services successfully)

Mark

et

Imp

act

(Measure

s im

pact cre

ate

d in t

he m

ark

et)

High

High

LeadersMajor Contenders

GAVS

Infostretch

Virtusa

Citius Tech

Infinite

Tech Mahindraemids

HCL Technologies

Wipro

Atos

IBM

DXC Technology

Optum

TCS DeloitteNTT DATA

AccentureCognizant

Low

Low

Aspirants Capgemini

EPAM

Hexaware

HTC Global services

Copyright © 2020, Everest Global, Inc.

EGR-2020-45-E-38335

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NTT DATA | Healthcare provider digital services profile (page 1 of 2)

Overview

Key leadership

Bob Pryor, CEO, NTT DATA Services

Mary Edwards, President, Healthcare Provider, NTT DATA Services

Revenue by buyer size

Small (annual revenue < US$1 billion)

Medium (annual revenue = US$1-US$5 billion)

Large (annual revenue > US$5 billion)

Revenue by geography

North America

Europe (excluding UK)

UK

Asia Pacific

Middle East & Africa

South America

Adoption by LOBs

Large health systems

Stand-alone hospitals/clinics

Pharmacies

Diagnostic labs

Physician practices

Healthcare provider digital services revenue

Provider IT services focus by value chain

Patient engagement

Care management

Diagnostics, treatment, and monitoring

Financial and network management

VisionNTT DATA aims to leverage its Digital Health Platform, enabled by NTT DATA Nucleus for Healthcare. It also aims to provide a digital roadmap for care systems, pre-wired capabilities through best-in-class

partnerships for accelerated speed to value, and connected digital foundation capabilities to accelerate, secure, and deliver journey to cloud, RPA, AI, and analytics necessary for digital transformation.

>US$150 millionUS$50-

US$100 million<US$50 million

US$100-

US$150 million

High (>20%) Medium (10-20%) Low (<10%)

High (>40%) Medium (20-40%) Low (<20%)

High (>20%) Medium (10-20%) Low (<10%)

High (>20%) Medium (10-20%) Low (<10%)

Copyright © 2020, Everest Global, Inc.

EGR-2020-45-E-38336

®

NTT DATA | Healthcare provider digital services profile (page 2 of 3)

Offerings

Proprietary solutions (representative list)

Solutions name Details

NTT DATA Nucleus for healthcare An end-to-end integrated Digital Health accelerator that provides consumer/clinician engagement through personalized communication, consolidated clinical and financial data, and

predictive analytics. IT connects patient journey from scheduling, digital onboarding through care plan development, care access including virtual, and payment options/facilitation

NTT DATA Unified Clinical Archive

(UCA)

A cloud-based medical imaging and reporting archiving solution with analytics capabilities, giving clinicians and patients easy and secure image access to facilitate patient engagement,

automation of imaging workflows, and improvement in data management and security

Virtual care solutions Solutions that leverage services and software to integrate all telehealth technologies with EHR and other critical systems to enable remote care delivery with online virtual visits and remote

monitoring capabilities. Offers virtual care maturity assessment & strategy consulting to transform providers’ enterprise telemedicine initiatives

Healthcare Provider Analytics (HePA) Cloud-based analytics platform for accelerating ingestion and integration of provider data using standard healthcare data models for enabling insights about better clinical outcomes,

lowering cost of care, and providing patient-centric use cases

ehCOS Suite A set of eHealth products developed by everis (an NTT DATA company) for the healthcare industry. Its primary goal is to help health professionals save lives, improve patient care, make

accurate decisions, and manage day-to-day healthcare facilities of all kinds of healthcare systems

Digital engagement solution A solution that leverages social intelligence to optimize engagement. It helps in developing digital engagement strategies for mobile, social, and multi-modal online channels, CRM, and IoT

Recent activities (representative list)

Development Details

Acquisitions Acquired Dell Services, Cognosante, Sierra Systems, and FLUX7, among others, to enhance digital portfolio and support clients’ move to digital

Investment Invested in Statistica, Python programming, SAS, SPSS, R, JMP, web analytics tools (Omniture, TeaLeaf, and Radian6), MINITAB, Hyperion, BusinessObjects, microstrategy, advanced

Excel, VBA, Clarabridge, and Tableau to leverage care-driven analytics to empower the formation and delivery of day-to-day clinical and business decision-making. Invested in care

coordination analytics that leverages performance data to forecast financial outcomes in risk-based agreements

Partnership Partnered with nference (an NTT venture Capital JV) for augmented intelligence AI platform for analytics, with SCI solutions, VisitPay to offer online scheduling, referral management and

consumer healthcare finance solutions, with InTouch Health to provide a turnkey virtual care solution, and with Google to develop next-generation healthcare solutions

COVID-19 initiatives (representative list)

Development Details

Power free COVID-19 screening Sharecare in partnership with IPsoft and NTT DATA has launched a free interactive screening solution that allows self-screening for COVID-19 symptoms and receive next-steps guidance

COVID-19 care coordination (EC3) NTT DATA and Enli jointly announced a patient management program designed to record, manage, and monitor patients at risk for, or who have already contracted COVID-19

COVID-19 insights and tracker app COVID-19-specific app that leverages “Augmented Curation” to enable personalized healthcare for COVID-19 patients and unlock a wealth of information from unstructured data

Copyright © 2020, Everest Global, Inc.

EGR-2020-45-E-38337

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Market impact Vision & capability

Market adoption Portfolio mix Value delivered Overall Vision and strategy

Scope of services

offered

Innovation and

investments Delivery footprint Overall

NTT DATA | Healthcare provider digital services profile (page 3 of 3)

Everest Group assessment – Leader

Measure of capability: High Low

Strengths Areas of improvement

⚫ Strategic investments in horizontal (Enli and visitpay) and healthcare-focused partnerships (InTouch

Health and SCI Solutions) to strengthen its healthcare digital portfolio

⚫ Strong platform play with Nucleus for Healthcare, with a focus on value chain coverage, digital

enablement, patient-centricity, and business outcomes

⚫ Good mix of onshore and offshore resources to optimize the delivery portfolio according to the client

⚫ Improve on its presence in healthcare provider markets outside the United States

⚫ Proactively explore risk-sharing/outcome-based model with the clients to gain confidence

⚫ Clients cite nimbleness and agility as key areas of improvement. This can help NTT DATA work in

a more collaborative and synergized manner with start-ups

Copyright © 2020, Everest Global, Inc.

EGR-2020-45-E-38338

®

Appendix

Copyright © 2020, Everest Global, Inc.

EGR-2020-45-E-38339

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®

Everest Group PEAK Matrix® is a proprietary framework for assessment of market

impact and vision & capability

Everest Group PEAK Matrix

Vision & capability

Measures ability to deliver BFS risk and compliance IT services successfully

High

Low

Low High

Leaders

Aspirants

Ma

rke

t im

pa

ct

Measure

s im

pact cre

ate

d in t

he m

ark

et

Major Contenders

Copyright © 2020, Everest Global, Inc.

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Services PEAK Matrix® evaluation dimensions

Measures impact created in the market –

captured through three subdimensions

Market adoption

No. of clients, revenue base,YOY

growth, and deal value/volume

Portfolio mix

Diversity of client/revenue base across

geographies and type of engagements

Value delivered

Value delivered to the client based on

customer feedback and

transformational impact demonstrated

through case studies

Vision and strategy

Vision for the client and itself; future

roadmap and strategy

Scope of services offered

Depth and breadth of services portfolio

across service subsegments/processes

Innovation and investments

Innovation and investment in the enabling

areas, e.g., technology IP, industry/domain

knowledge, innovative commercial

constructs, alliances, and M&A

Delivery footprint

Delivery footprint and global sourcing mix

Measures ability to deliver services successfully.

This is captured through four subdimensions

Mark

et

imp

act

Vision & capability

Major Contenders

Leaders

Aspirants

Copyright © 2020, Everest Global, Inc.

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Everest Group confers the Star Performers title on providers that demonstrate the

most improvement over time on the PEAK Matrix®

Methodology

Everest Group selects Star Performers based on the relative YOY improvement on the PEAK Matrix

The Star Performers title relates to YOY performance for a given vendor and does not reflect the overall market leadership position, which is identified as Leader, Major Contender, or Aspirant.

Year 1

Year 0

Ma

rke

t Im

pa

ct

Vision & capability

We identify the service providers whose improvement ranks

in the top quartile and award the Star Performer rating to

those service providers with:

⚫ The maximum number of top-quartile performance

improvements across all of the above parameters

AND

⚫ At least one area of top-quartile improvement performance

in both market success and capability advancement

In order to assess advances on market impact,

we evaluate each service provider’s performance across a

number of parameters including:

⚫ Yearly ACV/YOY revenue growth

⚫ # of new contract signings and extensions

⚫ Value of new contract signings

⚫ Improvement in portfolio mix

⚫ Improvement in value delivered

In order to assess advances on vision and capability,

we evaluate each service provider’s performance across

several parameters including:

⚫ Innovation

⚫ Increase in scope of services offered

⚫ Expansion of delivery footprint

⚫ Technology-/domain-specific investments

Copyright © 2020, Everest Global, Inc.

EGR-2020-45-E-383312

®

FAQs

Does the PEAK Matrix® assessment incorporate any subjective criteria?

Everest Group’s PEAK Matrix assessment adopts an unbiased and fact-based approach (leveraging service provider / technology vendor RFIs and Everest Group’s proprietary databases containing providers’

deals and operational capability information). In addition, these results are validated / fine-tuned based on our market experience, buyer interaction, and provider/vendor briefings

Is being a “Major Contender” or “Aspirant” on the PEAK Matrix, an unfavorable outcome?

No. The PEAK Matrix highlights and positions only the best-in-class service providers / technology vendors in a particular space. There are a number of providers from the broader universe that are assessed

and do not make it to the PEAK Matrix at all. Therefore, being represented on the PEAK Matrix is itself a favorable recognition

What other aspects of PEAK Matrix assessment are relevant to buyers and providers besides the “PEAK Matrix position”?

A PEAK Matrix position is only one aspect of Everest Group’s overall assessment. In addition to assigning a “Leader”, “Major Contender,” or “Aspirant” title, Everest Group highlights the distinctive capabilities

and unique attributes of all the PEAK Matrix providers assessed in its report. The detailed metric-level assessment and associated commentary is helpful for buyers in selecting particular providers/vendors

for their specific requirements. It also helps providers/vendors showcase their strengths in specific areas

What are the incentives for buyers and providers to participate/provide input to PEAK Matrix research?

⚫ Participation incentives for buyers include a summary of key findings from the PEAK Matrix assessment

⚫ Participation incentives for providers/vendors include adequate representation and recognition of their capabilities/success in the market place, and a copy of their own “profile” that is published by

Everest Group as part of the “compendium of PEAK Matrix providers” profiles

What is the process for a service provider / technology vendor to leverage their PEAK Matrix positioning and/or “Star Performer” status ?

⚫ Providers/vendors can use their PEAK Matrix positioning or “Star Performer” rating in multiple ways including:

– Issue a press release declaring their positioning. See citation policies

– Customized PEAK Matrix profile for circulation (with clients, prospects, etc.)

– Quotes from Everest Group analysts could be disseminated to the media

– Leverage PEAK Matrix branding across communications (e-mail signatures, marketing brochures, credential packs, client presentations, etc.)

⚫ The provider must obtain the requisite licensing and distribution rights for the above activities through an agreement with the designated POC at Everest Group.

Does the PEAK Matrix evaluation criteria change over a period of time?

PEAK Matrix assessments are designed to serve present and future needs of the enterprises. Given the dynamic nature of the global services market and rampant disruption, the assessment criteria

are realigned as and when needed to reflect the current market reality as well as serve the future expectations of enterprises

About Everest Group

Everest Group is a consulting and research firm focused on strategic IT, business services, and sourcing. We are trusted

advisors to senior executives of leading enterprises, providers, and investors. Our firm helps clients improve operational and

financial performance through a hands-on process that supports them in making well-informed decisions that deliver high-

impact results and achieve sustained value. Our insight and guidance empower clients to improve organizational efficiency,

effectiveness, agility, and responsiveness. What sets Everest Group apart is the integration of deep sourcing knowledge,

problem-solving skills and original research. Details and in-depth content are available at www.everestgrp.com.

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®